Kenneth Brian Hunt 2/13/2020 - Laserfiche WebLink

• Act CERTIFICATE OF LIABILITY INSURANCE DATE` ' 01/15/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(Iss)must be endorsed If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsernent(s). PRODUCER CONTACTNAME: PHONE Sexton Agency LLC t�.Eaq: ): 5924 Evergreen Way Ste H ADDRESS: INSURERES)AFFORDING COVERAGE NAIL E Everett WA 98203 INSURER A: GuldeOne National Insurance Company 14187 INSURED INSURER al Kenneth Brian Hunt INSURER C 5129 Evergreen Way INSURER 0: D9 INSURER E Everett WA 98203 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SIR TYPE Of INSURANCE MDR POLICY NUMBER III POLICY tMM?OOIYYYYI ITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DALIAGh TO CLAIMSOE MC PROBERS occurrence MA S 50.000 MED EXP Priv ale Once, S 5,000 A _ Y Y ENV562000383-01 08/09/2019 08109/2020 PERsCNAL a ADv IwLIRY s 1,000,000 Cg NLAGGR TE UNIT PER: GENERAL AGGREGATE $ 2,000,000 POLICY j_CIECT [ LOC PR©DUCTS.COPlOPPAO3 $ 2.000.000 OTHER S Alfl MOSLE UAMIUTY COMNNED SINGLE UNIT s _ ANY AUTO BODILY PN.Il1RY(Per person) $ — ALL CANED � D COL Y INJURY(RN S AO - HREDAUTOS — Amos NON-OWNED IPsf seeidann $ UMBRELLA LIDS _ OCCUR EACH OCCURRENCE f EXCESSUAO CLAIMS-MADE AGGREGATE DEO I I RETENTIONS WORKER$COMPENSATION I PEARn,rF I XI FiRTH- WA Stop Gap AND EMPLOYERS'UANUTY ANY PROPI ETOREARTNERIEXECUTNE YIN EL EACHAGCIDENr S 1.000,000 A OFFICER/MMIER EXCLUDEDi N�NlA ENV582000383-01 08/09//2019 08/09/2020 (Mandal.IY In INIl E.L.DISEASE.EA EWPLOYEE $ 1,000.000 IL yye.ss,.ldP11O c.s+xoe,rear DEsCN OF OPERAIIOss Mere EL DISEASE-POLICY LIMIT S 1,000,000 A Conlracloes Pollution Liabi'dy Y ENV562000363-01 Otit09t2019 08d0912020 S1,000.000/$2,000.000 Professional liability s1,000,000152,000.000 DESCRIPTION OF OPERATIONS r LOCATIONS I VEISCLE*(ACORD 101,Ad&Naul Ramada Stlradu4,may be attached if moo space to required) Certificate holder is named additional insured per form CG2012(07198)&CG2010 07/04(CGL)&G02212-.4YA 10/17(CPL)&G03204-4YA 10/17(PL). Completed Ops applies per form CG2037 07/04(CGL).Primary&Non-Contributory applies per forms G00218-4YP 10/17(CGL)&G00216-4YP 10/17(CPL). Waiver of Subrogation applies per forms G00218-4YA 10117(CGL)&G00218-4YA 10/17(CPL). ""10 Day Notice for Non-Payment of Premium' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. Alin:Chris Lark AUT1pRZED REPRESENTATIVE 2930 Wetmore Ave Suite 9E ,+, Everett WA 98201 f�f/,/J C1958.2014ACORD CORPORATION. AN rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD